Justin Edward Sperlbaum, APRN
Nurse Practitioner in Pensacola, FL. Individual provider (NPI-1).
NPI number1669211652
StatusActive
Last updated in NPPESMay 21, 2024
Details
- NPI
- 1669211652
- Entity type
- Individual (NPI-1)
- Name
- Justin Edward Sperlbaum
- Credential
- APRN
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 21, 2024
- Certification date
- May 21, 2024
- Last updated
- May 21, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 11032778 | FL | Yes |
Practice location
1619 Creighton Rd Ste 2Pensacola, FL 32504-7152
Phone 850-444-4700
Mailing address
1619 Creighton Rd Ste 2Pensacola, FL 32504-7152
Phone 360-471-4556
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